PS 16-2: Request for Access to Personal Health Care Information (PHI): DES Authorization to Release Information

Date:

08/05/2019

Author:

DES

Note that as of July 8, 2019, DES has a new Authorization to Release Information form, https://www.masslegalservices.org/content/des-authorization-release-information.

Prior version, July 21, 2016.

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Attachment	Size
PS 2016-2 8.5.19 Rev. - DES Authorization to Release Protected Health Information.docx	29.89 KB
PS 16-2 DES Authorization to Release Protected Health Information.docx	31.7 KB
DES - Autho to Release Info 11-1-16.docx	50.11 KB

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